HIV Injection Risk Behaviors among HIV-Negative People Who Inject Drugs Experiencing Homelessness, 23 U.S. Cities.

IF 1.1 Q3 SOCIAL WORK
Ruthanne Marcus, Susan Cha, Catlainn Sionean, Dafna Kanny
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Abstract

Despite recent declines in numbers of people who inject drugs (PWID) diagnosed with HIV, clusters of HIV among PWID are ongoing, especially among PWID experiencing homelessness. Using data from the National HIV Behavioral Surveillance in 2018, we evaluated the association between homelessness and injection risk and prevention behaviors among HIV-negative PWID who were recruited by respondent-driven sampling in 23 U.S. cities. Interviewers assessed sociodemographic characteristics, history of overdose, and behavioral risk and prevention factors for HIV. Adjusted prevalence ratios (aPR) and 95% CI were obtained using Poisson regression models. Of 10,614 HIV-negative PWID participants, 7275 (68.5%) reported experiencing homelessness. Homeless PWID were more likely than those who were not to be younger age, white, unemployed, without health insurance, in poverty, experiencing psychological distress, and incarcerated in the past 12 months. PWID experiencing homelessness were significantly more likely to report injection risk behaviors [share syringes/equipment (aPR = 1.26; 95% CI = 1.20-1.33), non-fatal opioid overdose (aPR = 1.64; 95% CI = 1.49-1.79)] and prevention behaviors [testing for HIV in past 12 months (aPR = 1.18; 95% CI = 1.12-1.24) and using syringe services programs (aPR = 1.09; 95% CI = 1.03-1.16)] than PWID not experiencing homelessness. Homelessness among PWID is associated with injection risk behaviors and non-fatal overdose.

美国 23 个城市无家可归的 HIV 阴性注射吸毒者的 HIV 注射风险行为。
尽管最近确诊感染艾滋病毒的注射吸毒者(PWID)人数有所下降,但注射吸毒者中的艾滋病毒群集仍在持续,尤其是在无家可归的注射吸毒者中。利用 2018 年全国艾滋病行为监测的数据,我们评估了无家可归与注射风险和预防行为之间的关联,这些人是在美国 23 个城市通过受访者驱动的抽样调查招募的艾滋病毒阴性的吸毒者。受访者评估了社会人口学特征、用药过量史以及艾滋病行为风险和预防因素。使用泊松回归模型得出了调整流行率 (aPR) 和 95% CI。在 10,614 名 HIV 阴性的吸毒者中,有 7275 人(68.5%)称自己无家可归。与无家可归的感染者相比,无家可归的感染者更有可能是年轻人、白人、失业者、无医疗保险者、贫困者、有心理困扰者以及在过去 12 个月中被监禁者。无家可归的注射吸毒者更有可能报告注射风险行为[共用注射器/设备(aPR = 1.26; 95% CI = 1.20-1.33)、非致命性阿片类药物过量(aPR = 1.64; 95% CI = 1.49-1.79)]和预防行为[注射前检查(aPR = 1.26; 95% CI = 1.20-1.33)]。79)]和预防行为[在过去 12 个月中进行 HIV 检测(aPR = 1.18;95% CI = 1.12-1.24)和使用注射器服务计划(aPR = 1.09;95% CI = 1.03-1.16)]均高于无家可归的 PWID。无家可归的吸毒者与注射风险行为和非致命性用药过量有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
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14.30%
发文量
40
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